Olivia M Coontz, CDCA, QMHS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2512289 Issued in OH

Practice address

711 Belmont Ave
Youngstown, OH 44502-1039

Phone

(330) 793-2487

Fax

(330) 743-5748

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Olivia Madison Coontz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1154053619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021039",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Javit Ct",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152409",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 W Western Reserve Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445143522",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8790 E Market St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444842380",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Mineral Ridge",
            "state": "OH",
            "postal_code": "444409451",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Wilkinson Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445092159",
            "country_code": "US",
            "telephone_number": "330-793-2487",
            "fax_number": "330-743-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONTZ",
        "first_name": "OLIVIA",
        "middle_name": "M",
        "credential": "CDCA, QMHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2512289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "COONTZ",
            "middle_name": "MADISON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Albert James Cook II, M.D.
• Kirsten Cook
• Tanya Cook
• Susan B Coonrod, LPCC LICDC
• Danielle K Coontz, CDCA, LSW
• Amber Kitrina Cooper
• Chinnella Cooper, B.S.
• Linda Cooper, MD
• Melissa Copanic, CDCA
• Megan Copeland

• Clinical Social Worker in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.